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Post radical prostatectomy (RP) Challenges

Prostate Cancer | Last Active: Nov 27, 2023 | Replies (37)

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@kjacko

Based on a lot of comments I feel pretty fortunate. I had my RP last Tuesday. When I started to wake up the pain was excruciating. With pain meds it subsided quickly. I had an overnight in the hospital that went well. My bed felt like cardboard so they gave me a recliner which was wonderful. They woke me up every hour to check my vitals and every two hours to get up and walk. They had to slow me down. Since then, the pain have been minimal, using only Tylenol for pain. My urine was so what red at first, then darker brown, light brown and normal. They told me much of the color was due to elimination of IV fluids. The day after I had a slight sexual tingling, and a little stronger on Friday. Insomnia has been the toughest hurdle. I’ve had slight drainage, first blood and then a little urine, at the tip of the penis. They told me it is normal. Has gotten less everyday. Only discomfort now is a tickle in my penis and some discomfort in my perenium area. I’m back on a full diet but eat small and slow amounts until my intestines return to normal. As far as constipation, the first few days it was terrible. Milk of Magnesia did not help. When I felt close to a bowel movement and avoiding pushing, I actually did quick short kegels, and than a couple where I “held it”. It really worked. The catheter comes out Thursday, and I’m hoping for a favorable pathology report.
I hope this wasn’t too long. Health and happiness to all in our fraternity.

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Replies to "Based on a lot of comments I feel pretty fortunate. I had my RP last Tuesday...."

Awesome news and sounds like you are doing great. Getting the catheter out is a major milestone, and for myself, was a non-issue from a pain standpoint.

Keep up the Kegels and praying all goes well with the rest of your recovery!!

Jim

This is a carbon copy of my experience, which I think should be considered "normal".

One thing I would note is that post-op constipation is inevitable. It is caused by the narcotics given during and immediately after surgery (eg fentanyl). Milk of Mag and Colace should be mandatory the first 4-7 days post-op, for ANY operation under general anesthesia.

I’m replying to my own comment. The Doctor called me earlier about the pathology report. The good news: lymph’s are cancer free. The concerns: my Gleason score was changed from 3+4 to 4+5. Also, there was cancer detected on the prostate capsule. The doctor told me he got it all, but the chance of cancer recurring is now about 20-25(I view it as 75-80% that it won’t). He’ll go over this in detail tomorrow when they take out the catheter. He’ll do a PSA Followup in about 4 months. He has indicted any rise in PSA will necessitate radiation. My doctor is one of the top in Wisconsin. I trust him completely. However, not thoughts from the fraternity?